You receive services without showing your Medicaid Member Card to the provider.You see a provider who is not part of your health plan.You may have to pay your own medical bills for Medicaid covered services if: If you have called your provider’s office and checked on the claim but you still have problems, call an HPR.You can also call and check on the claim. If they have billed for the services but have not heard back from the health plan or Medicaid, ask if they will check on the claim.Ask if they have billed your health plan or Medicaid.
Make sure your provider’s office has a copy of your Medicaid card for the month of the service.If the bill says that you owe money, you should: Pay attention to the mail you get for medical care. Neither Medicaid nor your health plan will pay a provider for services given to a patient who was not covered. This is to prevent someone else from using your Medicaid or health plan cards to get health care services. Card: When you see a health care provider for the first time, you may be asked to show a picture identification card as well. Then you can find out if the services you will receive are covered by Medicaid. Show both your Medicaid Member Card and the health plan card to each medical provider. Health Plan (ACO) Card: If you are also enrolled in a health plan, your health plan may also send you a separate member card with instructions. When you show your card before you get medical care, you can find out if the health care provider accepts Medicaid and whether the service is covered. Medicaid Member Card: Show your Medicaid Member Card BEFORE each appointment and BEFORE you order medical supplies, prescriptions, hearing aids, etc. To avoid problems, carry the cards listed below with you each time you seek health care services. Get details from Social Security if you legally changed your name.It is important to show each health care provider your Medicaid Member Card BEFORE you receive any services. My name changed - Your Medicare card shows the name you have on file with Social Security. If you get Railroad Retirement Board (RRB) benefits, you can call 1-87 to get a replacement card. You can also call 1-800-MEDICARE (1-80) to order a replacement card to be sent in the mail. My card is lost or damaged - Log into (or create) your secure Medicare account to print or order an official copy of your Medicare card. Keep your Medicare card in a safe place in case you switch plans or go back to Original Medicare later.You’ll use your plan’s card to get services, not your Medicare card.If you have a Medicare drug plan or supplemental coverage, carry that plan card with you too.Show your Medicare card to your doctor, hospital, or other health care provider when you get services.Carry your Medicare card with you when you’re away from home.So keep your Medicare card in a safe place. You’ll need the information on your Medicare card to join a Medicare health or drug plan or buy Learn more about the limited situations in which Medicare can call you. Medicare will never call you uninvited and ask you to give us personal or private information. If someone calls and asks for your information, for money, or threatens to cancel your health benefits, hang up and call us 1-800-MEDICARE (1-80).
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